HomeMy Public PortalAbout8848 LONGDEN AVE_Certificate of Occupancy__ FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
g'�{fj - Lc7�t/Gz J1'd� BUILDING AND SAFETY DIVISION
ADDRESS
CITY G—� 7 ZIP BUILDING
ADDRESS C
SIZE OF LOTV NO. OF BLDGS. LOCALITY
NOW ON LOT
NEAREST
TRACT J 7 9 BLOCIS �i LOT.-NO � % CROSS ST.
J ASSESSOR
OWNER
Q '�I�:
NO.
MAP BOOK PAGE PARCEL
DISTRICT TYPE FIRE PRO RY
AD61RESS8#VJ�g �,. LOil/Lx'J��<�/ - h CONST. ZONE
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CITY / �� �'G� ZIP USE ZONE MAP ��
SIZE OF OF N0. "
EXISTING BL STORIES _"I SPECIAL
CONDITIONS
PRESENT USE OF. ILDING BLDG. SETBACK FROM
FRONT PROP. LINE OF - (STREET)
TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY } YARD = FRONT PROP. LINE HIGHWAY WIDTH
N0. PARKING _
SPACES PRO D -
} _
BLDG, SETBACK FROM
REASON FOR INSPECTION REQUEST SIDE PROP. LINE OF (STREET)
TOTAL SETBACK FROM TYPE OF XISTIN d
--=-- HIGHWAY + YARD = SIDE PROP. LINE HIGHWAY WIDTH U
} _ _ C:)
CORNER CUTOFF YES - NO u.!
PROPOSED MAX, OCC, OCCUPANCY GROUP
i AS VERIFIED OCCUPANT
I HEREBY ACKNOWLEDGE THAT'I HAVE READ THIS LOAD
APPLICATION AND STATE THAT THE ABOVE IS COR—
RECT. EXIT HARDWARE:
NO. OF EXITS NO SPEC. KNOWL. ❑
SIGNATURE OF -
PANIC DEVICESPARKING ❑
ADDRESS �"`�I ' { � � SPACES REQ'D PROVIDED �.
!l < 7
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zip
ZIP ! 'ZP hzz: vSl (J& Cad 6 /' 6;t 1571,VC.,
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PHONE 2y K
MAKE CHECKS PAYABLE TO:
HARVEY T. BRANDT COUNTY ENGINEER FINAL BY
DATE
APPLICATION VALIDATIONCK. a M.D. CASH
76A662-CE992 875 - - -